HomeAnswersSexologyerectile dysfunctionPlease advise me on the treatment to get rid of ED and PE.

How can erectile dysfunction and premature ejaculation be treated?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 21, 2019
Reviewed AtFebruary 28, 2024

Patient's Query

Hello doctor,

I am 47 years old. I am experiencing ED and PE. Five years back I had a seizure attack once because of high BP for which I have used Eptoin 100 mg daily for three years. Currently, I am on medication for BP using Telma 80 mg and Minipress XL 5 mg (for five years) and taking Insulin 12 units daily (one year). Please advice me on the treatment to get rid of ED and PE.

Hi,

Welcome to icliniq.com.

B-blocker like Prazosin hydrochloride (Minipress XL) is causing premature ejaculation (PE) and erectile dysfunction (ED) with the effect of Phenytoin (Eptoin) (attachment removed to protect patient's identity). Diabetes also a risk-factor of causing erectile dysfunction. Kindly tell us how is your diabetes and hypertension control, then I will tell how to manage this condition.

Take care.

Patient's Query

Thank you for your reply doctor,

My current BP levels are 130/85, plasma glucose - fasting -100, post-lunch -160.

Please guide.

Hi,

Welcome back to icliniq.com.

Diabetes destroys nerves and vessels which help for penile erection, thus leading to PE and erectile dysfunction. You can follow the following instructions:

1. Tablet Sildenafil 50 mg orally one hour before sex (precaution- do not take Minipress XL in the last 12 hours as it causes severe hypotension).

2. Intravenous injection of Alprostadil before sex.

3. Tablet Neurobion Forte (multivitamin) one tablet orally once a day for 15 days.

Thank you.

Patient's Query

Hi doctor,

Thank you for your kind response. I will follow up with the advice.

Hi,

Welcome back to icliniq.com.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vedprakash Verma
Dr. Vedprakash Verma

General Practitioner

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